Individual provider Active NPI

Esther Y Kim, PT, DPT

  • Physical Therapist
  • Harrington Park, NJ
National Provider Identifier
1245754944
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01757800 Issued in NJ
Practice address
90 Carlton LN
Harrington Park, NJ 07640-1603
Phone
(201) 230-1334
NPI assigned
Aug 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT026365 PA
Orthopedic Physical Therapist 2251X0800X 045823 NY
Physical Therapist 225100000X 40QA01757800 NJ Primary

Addresses

Primary practice location

90 Carlton LN
Harrington Park, NJ 07640-1603

Mailing address

90 Carlton LN
Harrington Park, NJ 07640-1603

Other practice location 1

1601 Cherry St # MS 21041
Philadelphia, PA 19102-1320
Phone (215) 553-7012

Other practice location 2

570 Piermont Rd
Closter, NJ 07624-3100
Phone (201) 230-1334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045823NYMDGeneral Practice Dentistry
PT026365PAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spark Physical Therapy & Wellness Physical Therapist CurrentSince Feb 21, 2021 Accepting new patients
Drexel University Past Accepting new patients
Drexel University Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1245754944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CARLTON LN",
            "city": "HARRINGTON PARK",
            "state": "NJ",
            "postal_code": "076401603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CARLTON LN",
            "city": "HARRINGTON PARK",
            "state": "NJ",
            "postal_code": "076401603",
            "telephone_number": "201-230-1334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Cherry St # MS 21041",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191021320",
            "country_code": "US",
            "telephone_number": "215-553-7012",
            "fax_number": "215-553-7019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "570 Piermont Rd",
            "address_purpose": "LOCATION",
            "city": "Closter",
            "state": "NJ",
            "postal_code": "076243100",
            "country_code": "US",
            "telephone_number": "201-230-1334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "ESTHER",
        "middle_name": "Y",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT026365",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "045823",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01757800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrington Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.